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General NPI Number Information
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NPI Number | 1548973431
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Entity Type | Organization
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Legal Business Name | REGENERATIVE SPORTS MEDICINE, LLC
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 10113 SUNSET STRIP
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City | SUNRISE
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State | FL
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Zip | 33322-2619
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Country | US
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Telephone | 954-530-8507
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Fax | 954-652-1538
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Provider Business Mailing Address
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Address Line | 10113 SUNSET STRIP
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City | SUNRISE
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State | FL
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Zip | 33322-2619
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Country | US
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Telephone | 954-530-8507
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Fax | 954-652-1538
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Authorized Official
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Title or Position | OWNER
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Name | DR. VERONICA VALENTINE
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Credential | DC
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Telephone | 954-530-8507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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